CHILD REGISTRATION FORM

Child Information

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Date of Birth

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Year

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Phone

Home Address

Emergency Contact Details

Emergency Contact Name or other contact

Emergency Contact Number

Relationship to Child

Medical & Special Needs Information

Does your child have any special needs, medical conditions, allergies, or additional support requirements we should be aware of?" (If yes, please provide details below)

Does your child have any dietary restrictions? (If yes, please specify)

Media Consent (Photos & Videos)

Do you give permission for your child to be photographed or recorded for KADA’s social media, promotional materials, and website?

I confirm that my child has permission to participate in KADA activities and I agree to the Terms & Conditions."

(Checkbox required before submission)

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Age 5-10 (Kids dance classes Birmingham)
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Psalm 24:7-8 - Open up Gates! Let the King of Glory in! Who is He? The Lord, Strong and Mighty in Battle

CHILD REGISTRATION FORM

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Age 5-10 (Kids dance classes Birmingham)

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